2018, Number 4
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Rev Mex Neuroci 2018; 19 (4)
Periodic electroencephalographic (EEG) patterns: a controversial and infrequent finding
Aguilar-Fabré L, Rodríguez-Valdés RF
Language: Spanish
References: 67
Page: 71-82
PDF size: 825.52 Kb.
ABSTRACT
Periodic electroencephalographic patterns are discharges usually
epileptiform in appearance, which occur at regular intervals
associated with acute brain injury such as cerebral vascular disease
and encephalitis. They are commonly classified as periodic lateralized
epileptiform discharges, periodic lateralized epileptiform discharges
bilateral independent, generalized epileptiform discharges, triphasic
waves and stimulus-induced rhythmic, periodic or ictal discharges.
The aim of this study is to make a review of the periodic EEG patterns,
emphasizing the importance of their recognition and clinical
significance. The clinical significance of the periodic EEG patterns
is uncertain, it is related to a variety of etiologies and suggest that
these patterns are unequivocally epileptogenic in some cases and
these patterns associated with poor prognosis. Their recognition
and classification are important to establish an accurate correlation
between clinical, neurological, laboratorial and neuroimaging data
with the EEG results, which allow making adequate therapeutic
benefit of critical patient behavior.
REFERENCES
Andraus MEC, Andraus CF, Alves-Leon AV. Periodic EEG patterns: importance of their recognition and clinical significance. Arq Neuropsiquitr. 2012;70:145-151.
Chatrian GE, Shaw GM, Leffman H. The significance of periodic lateralized epileptiform discharges: an electrographic clinical and pathological study. Electroencephalogr Clin Neurophysiol. 1964; 17: 177-193.
Echlin FA, Arnett V, Zoll J. Paroxysmal high voltage discharges from isolated and partially isolated human and animal cerebral cortex. Electroencephalogr Clin Neurophysiol. 1952;4:147-164.
Brenner RP, Schaul N. Periodic EEG patterns: classification, clinical correlation, and pathophysiology. J Clin Neurophysiol. 1990;7(2):249-267.
Téllez-Zenteno JF, Pillai SN, Hill MD, Pillay N. Chronic PLEDs with transitional rhythmic discharges (PLEDsplus) in remote stroke. Epileptic Disord. 2007; 9(2):164-169.
Fitzpatrick W, Lowry N. PLEDs: clinical correlates. Can J Neurol Sci. 2007;34(4): 443-450.
Cobb W, Hill D. Electroencephalogram in subacute progressive encephalitis. Brain. 1950;73:392-404.
García-Morales I, Gracia MT, Galán-Dávila L, et al. Periodic lateralized epileptiform discharges: etiology, clinical aspects, seizures, and evolution in 130 patients. J Clin Neurophysiol. 2002;19:172–7.
Reiher J, Rivest J, Grand’Mason F. Periodic lateralized epileptiform discharges with transitional rhythmic discharges. Electroencephalogr Clin Neurophysiol. 1991;78:12-17.
Pohlmann-Eden B, Hoch DB, Cochius JL, et al. Periodic lateralized epileptiform discharges: a critical review. J Clin Neurophysiol, 1996; 13: 519-530.
Pohlmann-Eden B, Hoch OB, Cochius JI, et al. Stroke and epilepsy: critical review of the literature. Part I: Epidemiology and risk factors. Cerebrovasc Dis. 1996; 6:332-338.
de la Paz D, Brenner RP. Bilateral independent periodic lateralized epileptiform discharges. Arch Neurol, 1981; 38: 713-715.
Chong DJ, Hirsch LJ. Which EEG patterns warrant treatment in the critically ill? Reviewing the evidence for treatment of periodic epileptiform discharges and related patterns. J Clin Neurophysiol. 2005; 22:79-91.
Brenner RP. EEG in convulsive and nonconvulsive status epilepticus. J Clin Neurophysiol. 2004; 21:319-331.
Gross DW, Wiebe S, Blume WT. The periodicity of lateralized epileptiform discharges. Clin Neurophysiol. 1999;110: 1516-1520
Orta DSJ, Chiappa KH, Quiroz AZ, Costello DJ, Cole AJ. Prognostic implications of periodic epileptiform discharges. Arch Neurol. 2009; 66: 985-991.
Hirsch LJ, LaRoche SM, Gaspard N, Gerard E, Svoronos A, Herman ST et al. American Clinical Neurophysiology Society´s Standarized Critical Care EEG Terminology: 2012 version. J. Clin Neurophysiol. 2013;30 (1):1-27.
Andraus MEC, Andraus CF, Alves-Leon SV. Periodic EEG patterns: importance of their recognition and clinical significance. Arq Neuropsiquiatr. 2012;70 (2):145-151.
Yemisci M, Gurer G, Saygi S, Ciger A. Generalized periodic epileptiform discharges: clinical features, neuroradiological evaluation and prognosis in 37 adult patients. Seizure. 2003;12 (7):465–72.
San-Juan OD, Chiappa KH, Costello DJ, Cole AJ. Periodic epileptiform discharges in hypoxic encephalopathy: BiPLEDs and GPEDs as a poor prognosis for survival. Seizure. 2009; 18:365–8.
Rossetti AO, Logroscino G, Liaudet L, Ruffieux C, Ribordy V, Schaller MD, et al. Status epilepticus: an independent outcome predictor after cerebral anoxia. Neurology. 2007;69 (3):255–60.
Tjepkema-Cloostermans M, Hofmeijer J, Trof R, Blans M, Beishuizen A, van Putten MJAM. EEG predicts outcome in patients with postanoxic coma during mild therapeutic hypothermia. Crit Care Med. 2015;43 (1):159–67.
Foreman B, Claassen J, Abou Khaled K, Jirsch J, Alschuler DM, Wittman J, et al. Generalized periodic discharges in the critically ill: a case–control study of 200 patients. Neurology. 2012;79 (19):1951–60.
Rittenberger JC, Popescu A, Brenner RP, Guyette FX, Callaway CW. Frequency and timing of nonconvulsive status epilepticus in comatose post-cardiac arrest subjects treated with hypothermia. Neurocrit Care. 2012; 16: 114–22.
Ruijter BJ, Van Putten MJAM, Hofmeijer J. Generalized epileptiform discharges in postanoxic encephalopathy: Quantitative characterization in relation to outcome. Epilepsia. 2015; 56 (11):1845-54.
Husain AM, Mebust KA, Radtke RA. Generalized periodic epileptiform discharges: etiologies, relationship to status epilepticus, and prognosis. J Clin Neurophysiol. 1999;16 (1): 51–8.
Nicolai J, van Putten MJ, Tavy DL. BIPLEDs in akinetic mutism caused by bilateral anterior cerebral artery infarction. Clin Neurophysiol. 2001;112 (9):1726–8.
Foley JM, Watson CW, Adams RD. Significance of the electroencephalographic changes in hepatic coma. Trans Am Neurol Assoc. 1950; 51: 161-165. 53.
Bickford RG, Butt HR. Hepatic coma: the electroencephalography pattern. J Clin Invest. 1955; 34: 790- 799.
Hirsch LJ, Brenner RP. Periodic discharges and other controversial EEG patterns. In: Hirsch LJ, Brenner RP (Eds). Atlas of EEG in critical care. Chichester: Wiley-Blackwell, 2010: 129-160.
Brigo F, Storti M. Triphasic waves. Am J Eletroneurodiagnostic Technol. 2011; 51: 16-25.
Foreman B, Mahulikar A, Tadi P, Claassen J, Szaflarski J, Halford J, Dean B, et al. Generalized periodic discharges and ¨triphasic waves¨: A blinded evaluation of inter-rater agreement and clinical significance. Clinical Neurophysiology. 2016; 127: 1,073-1,080.
Hirsch LJ, Claassen J, Mayer SA, Emerson RG. Stimulus-induced rhythmic, periodic, or ictal discharges (SIRPIDs): a common EEG phenomenon in the critically ill. Epilepsia. 2004; 45: 109-123.
Hirsch LJ, Brenner RP, Drislane FW, et al. The ACNS subcommittee on research terminology for continuous EEG monitoring: proposed standardized terminology for rhythmic and periodic EEG patterns encountered in critically ill patients. J Clin Neurophysiol. 2005; 22:128-135.
Jacome DE. Periodic EEG patterns in cerebral fat embolism. Clin Electroencephalogr. 1983;14:27-34.
Au WJ, Gabor AJ, Vijayan N, Markand ON. Periodic lateralized epileptiform complexes (PLEDs) in Creutzfeldt-Jakob disease. Neurology. 1980; 30: 611-617.
Pohlmann-Eden B, Hoch DB, Cochius JI, Chiappa KH. Periodic lateralized epileptiform discharges: a critical review. J Clin Neurophysiol. 1996; 13: 519-530.
de los Reyes EC, McJunkin JE, Glauser TA, Tomsho M, O’Neal J. Periodic lateralized epileptiform discharges in La Crosse encephalitis, a worrisome subgroup : clinical presentation, electroencephalogram (EEG) patterns, and long-term neurologic outcome. J Child Neurol. 2008; 23: 167-172.
Gandelman-Marton R, Rabey JM, Flechter S. Periodic lateralized epileptiform discharges multiple sclerosis: a case report. J Clin Neurophysiol. 2003; 20 (2): 117-121.
Neufeld MY, Vishnevskaya S, Treves TA, et al. Periodic lateralized epileptiform discharges (PLEDs) following stroke are associated with metabolic abnormalities. Electroencephalogr Clin Neurophysiol. 1997; 102: 295-298.
Chu NS. Periodic lateralized epileptiform discharges with preexisting focal brain lesions. Role of alcohol withdrawal and anoxic encephalopathy. Arch Neurol. 1980; 37: 551-554.
Snodgrass SM, Tsuburaya K, Ajmone-Marsan C. Clinical significance of periodic lateralized epileptiform discharges: relationship with status epilepticus. J Clin Neurophysiol. 1989; 6: 159-172.
Garzón E, Fernández RM, Sakamoto AC. Serial EEG during human status epilepticus: evidence for PLED as an ictal pattern. Neurology. 2001; 57: 1,175-1,183.
Silva AB, Bertolucci PHF. Descargas periódicas lateralizadas II. Aspectos evolutivos. Arq Neuropsiquiatr 1988; 46:10-15.
45. Gurer G, Yemisci M, Saygi S, et al. Structural lesions in periodic lateralized epileptiform discharges (PLEDs). Clin EEG Neurosci. 2004; 35:88–93.
Fushimi M, Matsubuchi N, Sekine A, et al. Benign bilateral independent periodic lateralized epileptiform discharges. Acta Neurol Scand 2003; 108:55–9.
DaSilva AB, Bertolucci PH. Periodic lateralized epileptiform discharges: II. Developmental aspects. Arq Neuropsiquiatr. 1988; 46:10–5.
Handfort A, Cheng JT, Mandelkern MA, Treiman DM. Markedly increased mesiotemporal lobe metabolism in a case with PLEDs: further evidence that PLEDs are a manifestation of partial status epilepticus. Epilepsia. 1994; 35: 876-881.
Markand, O. N. and Daly, D. D. Pseudoperiodic lateralized paroxysmal discharges in electroencephalogram. Neurology. 1971; 21: 975–981.
Schwartz, M. S., Prior, P. F. and Scott, D. F. The occurrence and evolution in the EEG of the lateralized periodic phenomenon. Brain. 1973; 96: 613–622.
Schrader, P. L. and Singh, H. Seizure disorders following periodic lateralized epileptiform discharges. Epilepsia. 1980; 21: 647–653.
Baykan B, Kinay D, Gökyigit A, Gürses C. Periodic lateralized epileptiform discharges:association with seizures. Seizure. 2000; 9: 402-406.
Lee, B. I. and Schauwecker, D. S. Regional cerebral perfusion in PLEDs: A case report. Epilepsia. 1988; 29: 607–611.
Assal F, Papazyan JP, Slosman DO, et al. SPECT in periodic lateralized epileptiform discharges (PLEDs): a form of partial status epilepticus? Seizure. 2001; 10: 260–5.
Funakawa I, Katoh H, Hara K, et al. A case of herpes simplex encephalitis with periodic lateralized epileptiform discharges. Rinsho Shinkeigaku. 1991; 31: 669–73.
Ali II, Pirzada NA, Vaughn BV. Periodic lateralized epileptiform discharges after complex partial status epilepticus associated with increased focal cerebral blood flow. J Clin Neurophysiol. 2001; 18: 565–9.
Ergün EL, Salanci BV, Erbas B¸ Saygi S. SPECT in periodic lateralized epileptiform discharges (PLEDs): A case report on PLEDs. Annals of Nuclear Medicine. 2006; 20: 227–231.
Singh G, Wright MA, Sander JW, et al. Periodic lateralized epileptiform discharges (PLEDs) as the sole electrographic correlate of a complex partial seizure. Epileptic Disord. 2005;7:37–41.
Young GB, Blume WT. Periodic lateralized frontal epileptiform discharges with ipsilateral epilepsia partialis continua. Epilepsia. 2007; 48: 597–8.
Nei, M., Lee, J. M., Shanker, V. L. and Sperling, M. R. The EEG and prognosis in status epilepticus. Epilepsia. 1999; 40: 157–163.
Terzano MG, Parrino L, Mazzucchi A, et al. Confusional states with periodic lateralized epileptiform discharges (PLEDs): a peculiar epileptic syndrome in the elderly. Epilepsia. 1986; 27: 446–57
Corda D, Rosati G, Deiana GA, et al. “Erratic” complex partial status epilepticus as a presenting feature of MELAS. Epilepsy Behav. 2006; 8: 655–8.
Hughes JR, Fuller T. The use of felbamate in patients with periodic lateralized epileptiform discharges (PLEDs). Clin Electroencephalogr. 1995; 26: 180–3.
Rejdak K, Papuc E, Dropko P, et al. Acute stroke-elicited epilepsia partialis continua responsive to intravenous sodium valproate. Neurol Neurochir Pol. 2008; 42: 157–60.
Shimada K, Koh CS, Hashimoto T, et al. A case of aseptic meningoencephalitis with recurrent abnormal behavior, status epilepticus and aphthous stomatitis, improved by acyclovir. Rinsho Shinkeigaku. 1989; 29: 367–70.
Nakamura A, Hashimoto T, Matsuda M, et al. Non-herpetic fulminant meningoencephalitis with periodic lateralized epileptiform discharges. J Clin Neurosci. 2002; 9: 190–2.
Maingueneau F, Honnorat J, Isnard J, et al. Partial non-convulsive status epilepsy in multiple sclerosis. Neurophysiol Clin. 1999; 29: 463–72.